HERITAGE DENTAL

NPI # 

Practice Address:

4511 Se Hawthorne Blvd , Suite 101

Portland, OR, 97215-3195

Practice Phone:

503-231-8228

Practice Fax:

503-231-5634

License Number:

5651

License State:

OR

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Dental

Taxonomy Code:

261QD0000X

Updated by NPPES on 7/11/2013. You can view the original data set for NPI # 1669759767 on the official NPPES website. If the information about this NPI provider/company is outdated and you would like to help us update the information, you can Contact Us. This will only update NPI information on NPIScope.com. See our FAQ page for further information on updating NPI information.

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